Santiago Casanova, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

5130 Bradenton Ave Ste B
Dublin, OH 43017-7068

Phone

(614) 336-8733

Fax

(614) 336-0658

NPI assigned

Sep 19, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: santiago.casanova.1@23491.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casanova Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Dublin, OH
  • NPI 1174117584

  TN

  Medicare reassignment Authorized official
• Alix Chiropractic and Rehab Center

  • Chiropractor
  • Dublin, OH
  • NPI 1891987624
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740709997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MOLER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071127",
            "telephone_number": "614-779-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 BRADENTON AVE STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177068",
            "telephone_number": "614-336-8733",
            "fax_number": "614-336-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "SANTIAGO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTPTAT",
            "identifier": "016807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Carter
• Nicole Carter
• Maria Suzanne Casa, LPCC
• Megan Casale, ATC
• Casanova Physical Therapy, LLC
• Abigail Caserta, PH.D
• Diane Christine Casey, MS, RDN, LDN
• Summer Casey
• Erichia Cash
• Katherine Cashdollar

• Physical Therapy Clinic/Center in Dublin, OH
• Providers in Dublin, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.